Participant Eligibility

01. Eligibility Determination. In order to choose the CDCS option, the participant must first be determined Medicaid-eligible and determined to meet existing Adult DD waiver or Children’s HCBS State Plan Option requirements. (7-1-26) 02. Participant Agreement. The participant, if able, and their legal representative, if one exists, must agree in writing using a Department-approved form to the following: (7-1-26) a. Accept the following guiding principles for the CDCS option; (7-1-26) i. Freedom for the participant to make choices and plan their own life; (7-1-26) ii. Authority for the participant to control resources allocated to them to acquire needed supports; (7-1-26) iii. Opportunity for the participant to choose their own supports; (7-1-26) iv. Responsibility for the participant to make choices and take responsibility for the result of those choices; and (7-1-26) v. Shared responsibility between the participant and their community to help the participant become an involved and contributing member of that community. (7-1-26) b. Agree to meet the participant responsibilities outlined in these rules; (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 801 Page 162 c. Take responsibility for and accept potential risks, and any resulting consequences, for their support choices. If the participant is unable to give consent, this falls to their legal representative; and (7-1-26) d. Acknowledge and follow the applicable HCBS rules. (7-1-26) 03. Involuntary Removal. Participants involuntarily removed from the CDCS option will be ineligible for this option for a period of five (5) years. Re-application will be reviewed on a case-by-case basis and will include consideration of the previous conditions for removal. (7-1-26)